Day 15 - Self-inflicted wounds continued.
Note: I was confused on the court adjournments and this post actually reflects the events of Day 16 of the trial. I missed day 15 somehow and will post the summary shortly.
Cast
Siraj Desai: Judge.
Botha: Advocate for the defence.
Susan Galloway: Prosecutor.
Dr Marianne Tiemensma: Medical specialist in pathology for the state.
Summary
Dr. Tiemensma returns to the stand and is adamant that the wounds are self-inflicted and that if Henri did have concussion it would not have kept him unconciouss for nearly 3 hours. Botha works hard on the cross, at times losing his temper with the witness. Botha points out that Dr. Albertse's report should be given more weight as she actually physically examined Henri. Dr. Tiemensma's report is based only on photographs of the wounds and Dr. Albertse's report.
Highlights
Dr. Tiemensma explains the difference between loss of consciousness due to emotional stress vs medical stress (loss of blood etc.). Botha notes that Henri did not lose consciousness due to blood loss.
Tiemensma says concussion is a mild brain injury, loss of consciousness for a couple of seconds at most. But more than 90% of concussions doesn't result in loss of consciousness, she explains.
If for hours or more than a few minutes, its in keeping with a more serious injury, may show through severe headache, nausea and vomiting, needs to be evaluated medically.
Reasons for describing some of his injuries as possibly self-inflicted injuries - if you look at the type of wounds, they are superficial and non-fatal. Only danger to life is if it becomes infected.
Regular and equal depth, uniform, linear, no movement in the wounds, parallel, equally deep. They don't differ in depth.
Wounds to thorax and abdomen seem to have a stabbing action, not slicing. Still very superficial. Description of how sustained doesn't fit in with the physical injury.
Tiemensma says there is a strong contrast in comparison to his family's injuries.
Extensive chop wounds caused by an axe. None show any characteristics that it was inflicted with the same type of intent or force
Botha on the cross.
Botha says there is a difference in the descriptions of the wounds of Dr Albertse and Dr Tiemensma.
He says the version of Dr Albertse would be the more acceptable version as she had examined Henri. Tiemensma counters she had the photos as evidence.
The position described at the time of the wounds being inflicted is that there was pushing and pulling, slashing and stabbing, Tiemensma says.
This does not correspond with the wounds.
Adv Botha - Henri says initial movement of attacker was aiming towards his throat and he managed to pull his arm slightly down.
Tiemensma - he definitely didn't strike anything close to the throat. You would expect a downwards sharp force injury toward the chest.
Botha shows with the knife how an attacker could have flicked at Henry's arm.
Tiemensma says that movement would not have resulted in those wounds.
She describes Henri's arm wounds as "so nice and neat" .
Adv Botha keeps arguing that the cuts could be caused by the knife in attackers hand.
Dr Tiemensma is adamant that the wounds are self inflicted.
Botha losing his cool with Tiemensma. Judge Desai tells him he is arguing with the witness, tells him to take a few seconds and ask his question again.
Court breaks for lunch.
Enlarged photo of part of the staircase being shown to Dr Tiemensma. A blood spot can be seen. Henri says when he regained consciousness, he was on the stairs in that vicinity, and noticed the stain on the stairs.
He now points to a blood spot on the elastic of the shorts Henri wore that morning. This, Botha says, is Henri's blood. Could stab wound have resulted in that spot? She says yes, if the blood matches his.
The blood saturated onto his boxer shorts. If it is his own blood, could that smudge (on stairs) been caused by the stab wound? Botha says police didn't take a swab of this blood. She says it depends on the position of his body when he fell.
According to Adv Botha, Henri regained consciousness 2 hours 40 mins later after fainting from seeing his mother and Marli.
Referring to the bump to Henri's head. Tiemensma said it could have resulted in concussion.
She says he knew what he was doing when he Googled emergency services. Could be he had mild concussion, but wont give loss of consciousness for hours.
Henri had constricted pupils and slow reaction to light, Botha says.
Tiemensma says constricted pupils could even be result of drugs, not limited to concussion.
Media
Infographic of Henri's wounds is available here
http://www.news24.com/SouthAfrica/News/infographic-wounds-sustained-by-henri-van-breda-20170523
Article